ALLINA HEALTH SYSTEM
NPI 1881990521
Clinic/Center in St Michael, MN

Active since January 27, 2011
4300 EDGEWOOD DR NE, ST MICHAEL, MN 55376(763) 744-4000(763) 744-4124 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 26, 2025, Sep 4, 2020, Nov 22, 2019 and 1 more (4 updates tracked since 2019).

About Allina Health System NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLINA HEALTH SYSTEM (NPI 1881990521), doing business as Allina Health St Michael Clinic, is a healthcare organization registered as a clinic/center in St Michael, Minnesota and active in the NPI registry since January 2011. The organization lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1881990521
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameALLINA HEALTH SYSTEM
Location Address4300 EDGEWOOD DR NESt Michael, MN 55376-4588
Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166
Fax(763) 744-4124
Organization SubpartNo
Authorized OfficialDominica TallaricoCoo · (612) 222-2222
Enumeration DateJanuary 27, 2011
Last NPPES UpdateFebruary 26, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1881990521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4300 EDGEWOOD DR NE, St Michael, MN 55376

Other Names 1

Doing Business AsAllina Health St Michael Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allina Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20120301000177DME · Physician - Unknown Physician SpecialtyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4,538

Medicare enrollment records show 4,538 clinicians reassign Medicare billing to Allina Health System, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 30 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 68

Nurse Practitioner785
Family Practice536
Internal Medicine467
Diagnostic Radiology333
Certified Registered Nurse Anesthetist (CRNA)308
Clinical Social Worker184
Obstetrics/Gynecology172
Clinical Psychologist154
60 other specialties1,599

Nearest to this location (20)

See all 4,538
Family Practice
NPI 1316528409
4300 EDGEWOOD DR NE
Saint Michael, MN 55376
(763) 744-4000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1477844090
4300 EDGEWOOD DR NE
Saint Michael, MN 55376
(763) 744-4000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871572099
4300 EDGEWOOD DR NE
Saint Michael, MN 55376
(763) 744-4000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1124096730
4300 EDGEWOOD DRIVE NE
St. Michael, MN 55376
(763) 744-4000
✔ PECOSSame address
Nurse Practitioner
NPI 1144618885
4300 EDGEWOOD DR NE
Saint Michael, MN 55376
(763) 744-4000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1710063250
4300 EDGEWOOD DR NE
Saint Michael, MN 55376
(763) 744-4000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1083643936
4300 EDGEWOOD DR NE
Saint Michael, MN 55376
(763) 744-4000
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1336801570
12098 79TH ST NE
Otsego, MN 55330
(763) 291-5729
✔ PECOS✔ Accepts Medicare3.7 mi
Family Practice
NPI 1770842007
14181 BUSINESS CENTER DR NW
Elk River, MN 55330
(763) 236-0500
✔ PECOS✔ Accepts Medicare6.5 mi
Nurse Practitioner
NPI 1477287282
14181 BUSINESS CENTER DR NW
Elk River, MN 55330
(763) 236-0500
✔ PECOS✔ Accepts Medicare6.5 mi
Nurse Practitioner
NPI 1710319066
14181 BUSINESS CENTER DR NW
Elk River, MN 55330
(763) 236-0500
✔ PECOS✔ Accepts Medicare6.5 mi
Clinical Social Worker
NPI 1316201791
14181 BUSINESS CENTER DR NW
Elk River, MN 55330
(763) 236-0500
✔ PECOS✔ Accepts Medicare6.5 mi
Pediatric Medicine
NPI 1427476449
14181 BUSINESS CENTER DR NW
Elk River, MN 55330
(763) 236-0500
✔ PECOS6.5 mi
Family Practice
NPI 1134189095
14181 BUSINESS CENTER DR NW
Elk River, MN 55330
(763) 236-0500
✔ PECOS✔ Accepts Medicare6.5 mi
Obstetrics/Gynecology
NPI 1750358586
530 3RD ST NW MAIL STOP 39400A
Elk River, MN 55330
(763) 712-6000
✔ PECOS✔ Accepts Medicare7.7 mi
Anesthesiology
NPI 1326094640
19469 180TH AVE NW
Big Lake, MN 55309
(651) 253-6774
✔ PECOS✔ Accepts Medicare8.0 mi
Mental Health Counselor
NPI 1346659307
200 5TH ST NW STE E
Elk River, MN 55330
(763) 458-2967
✔ PECOS✔ Accepts Medicare8.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1811003478
1013 HART BLVD
Monticello, MN 55362
(763) 295-2945
✔ PECOS8.6 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427021716
1013 HART BLVD
Monticello, MN 55362
(763) 295-2945
✔ PECOS✔ Accepts Medicare8.6 mi
Clinical Psychologist
NPI 1205284445
4050 COON RAPIDS BLVD
Coon Rapids, MN 55311
(763) 236-7964
✔ PECOS✔ Accepts Medicare9.7 mi
See all 4,538 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allina Health System's NPI number?

The NPI number for Allina Health System is 1881990521. It was assigned to this organization in the NPPES registry on January 27, 2011. The provider is doing business as Allina Health St Michael Clinic.

Where is Allina Health System located?

Allina Health System is located at 4300 Edgewood Dr NE, St Michael, MN 55376. The listed phone number is (763) 744-4000.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Allina Health System enrolled in Medicare?

Yes. Allina Health System is registered in the Medicare PECOS enrollment system.

When is Allina Health System's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Minnesota, Physician - Unknown Physician Specialty) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Allina Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 4,538 clinicians in 68 Medicare specialties reassign their Medicare billing to Allina Health System. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (785), Family Practice (536) and Internal Medicine (467). Of these, 6 practice at this address and 30 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Allina Health System accept?

Health plans from HealthPartners list Allina Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allina Health System was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.